NPIMap

Individual provider Active NPI

Jeffrey M Friedman, MD

  • Physical Medicine & Rehabilitation Physician
  • Paoli, PA
National Provider Identifier
1184739500
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD054645L Issued in PA
Practice address
11 Industrial Blvd Ste 103
Paoli, PA 19301-1620
Phone
(610) 467-8910
Fax
(610) 467-8912
NPI assigned
Aug 19, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD054645L PA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD054645L PA

Addresses

Primary practice location

11 Industrial Blvd Ste 103
Paoli, PA 19301-1620

Mailing address

11 Industrial Blvd Ste 103
Paoli, PA 19301-1620
Phone (610) 467-8910

Other identifiers 2

IdentifierTypeStateIssuer
001620234MedicaidPA
0000750901MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000072 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1052300464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Rehabilitation Associates of the Main Line, P.C.Group PAC ID 8325037724, 14 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

414 Paoli Pike
Malvern, PA 19355-3311
Phone (484) 596-5254

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of the Main Line, P.C. Physical Medicine & Rehabilitation CurrentSince Aug 8, 1996 Accepting new patients
Medical Associates of the Main Line, PC PastSince Mar 12, 2024 Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

414 Paoli Pike
Malvern, PA 19355
Phone (484) 596-5254

11 Industrial Blvd
Ste 103
Paoli, PA 19301
Phone (610) 407-9320

Interoperability endpoints

  • Direct secure messaging: jeffrey.friedman.1@554.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1184739500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD STE 103",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011620",
            "telephone_number": "610-467-8910",
            "fax_number": "610-467-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDUSTRIAL BLVD STE 103",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011620",
            "telephone_number": "610-467-8910",
            "fax_number": "610-467-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD054645L",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD054645L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001620234",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000750901",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.